Rapid Access TIA (Transient Ischemic Attack) and Stroke Secondary Prevention Clinic

This program may vary by location

South Shore Regional Hospital

The Rapid Access  Transient ischemic attack (TIA) and Stroke Secondary Prevention Clinic provides rapid assessment by a Nurse Practitioner (NP) of patients who have experienced transient stroke-like symptoms who present to the emergency department or in the primary health care setting.

This clinic aims to rapidly identify patients who have experienced a TIA, and streamline patients with critical stenosis of the carotid arteries to surgical evaluation to reduce the risk of stroke. Patients will receive a neurologic examination by the Nurse Practitioner.

The TIA clinic will also  arrange diagnostic tests, if not already completed, such as carotid dopplers, CT scan of the head, ECG and holter monitoring and echocardiography if necessary to identify the underlying cause of their clinical presentation and treat any risk factors that could place the patient at risk of stroke.

Bridgewater & Area Family Health Clinic

Aggressive treatment after a Transient Ischemic Attack (TIA) is extremely important in preventing a second, potentially disabling stroke. The 90 day risk of recurrent stroke after TIA is 10-20% with half of those strokes occurring within the first 2 days.  Further, the 7 day risk can be as high as 36%. Timely stroke prevention medical therapy and carotid endarterectomy (CEA) have been shown to significantly reduce the risk of a major stroke after an initial TIA. The maximum benefit from CEA occurs when the surgery is completed within 2 weeks of the initial TIA; thus, leading to the urgency for assessment, testing and diagnostics.

The TIA Clinic has been designed to provide:

  • clinical evaluation by a Registered Nurse to assess for neurological deficits
  • review of diagnostics attempt to explain etiology
  • urgent identification of risk factors with prompt education and non-pharmacological treatment 
  • earlier access to vascular surgical consults for appropriately identified patients requiring Carotid Endarterectomy
  • comprehensive referral to professional collaborative education and programs
  • prompt collaboration between the clinic and the clients primary care provider for pharmacological treatment to target risk factors and secondary prevention 


Location, hours and contact information

Bridgewater & Area Family Health Clinic
Suite 110, Bridgewater Medical Arts Building
42 Glen Allan Drive
Bridgewater, NS B4V 3N2
Monday - Friday

South Shore Regional Hospital
90 Glen Allan Drive
Bridgewater, NS B4V 3S6
ph: 902-543-4604 ext 2222 for more information
fax: 902-543-8895

How do I access this program?

South Shore Regioanl Hospital
Referrals can be sent by fax (902-543-8895) from physicians and NPs who suspect that their patient may have had a TIA.

Bridgewater & Area Family Health Clinic
A referral from your doctor or nurse practitioner is required.

Forms and Documents

South Shore Regioanl Hospital - ER-0200 Referral Form* (.doc file download)

For Healthcare Professionals